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                                                                                                                 New York State 
                                                                                                                 Department of State 
                                                                                               DIVISION OF CORPORATIONS, 
                                                                                                                 STATE RECORDS AND  
                                                                                               UNIFORM COMMERCIAL CODE 
                                                                                                                 One Commerce Plaza 
                                                                                                                 99 Washington Ave. 
                                                                                                                 Albany, NY 12231-0001 
                                                                                                                                www.dos.ny.gov 
 
                         CERTIFICATE OF AMENDMENT 

                         OF 
 
                         (Insert Name of Foreign Corporation) 
                         Under Section 1309 of the Business Corporation Law 
 
 FIRST:                 The name of the corporation as it appears on the index of names in the Department of  
 State is:                                                                                                                                             .  
 (Complete the following section only if the corporation has agreed to use a fictitious name in New York State.) The fictitious  
 name the corporation has agreed to use in New York State is: 
 
                                                                                                                                                            . 
 
 SECOND: The jurisdiction of incorporation of the corporation is: 

                                                                                                                                                            . 
 
 THIRD: The date on which the corporation was authorized to do business in New York State is: 

                                                                                                                                                            . 

 FOURTH: The Application for Authority is amended as follows: 
 (If the true name of the foreign corporation has been changed, set forth a statement that the change of name has been effected 
 under the laws of the jurisdiction of incorporation and the date the change was so effected.) 

 Paragraph                          of the Application for Authority is amended to read in its entirety 
 as follows: 
 
                                                                                                                                                          . 

 DOS-1559-f (Rev. 03/17)                                                                                                                                    Page 1 of 2



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  Paragraph                                  of the Application for Authority is amended to read in its entirety as 
  follows: 
 
                                                                                                                                                                                . 
 
                 X                                                                                                    
                                   (Signature)                                      (Name of Signer) 
 
                                                                                    (Title of Signer) 
 
                                             CERTIFICATE OF AMENDMENT 
                                                    OF 
 
                                               (Insert Name of Foreign Corporation) 
                                             Under Section 1309 of the Business Corporation Law 
  
 Filer’s Name and Mailing Address: 

                   Name: 

                   Company, if Applicable: 

                   Mailing Address:

                   City, State and Zip Code: 

  NOTES:  
  1. The name of the corporation and the date it was authorized to conduct business in New York State 
      provided on this certificate must exactly match the records of the Department of State.  This information 
      should be verified on the Department of State’s website at www.dos.ny.gov. 
  2. This form was prepared by the New York State Department of State. It does not contain all optional 
      provisions under the law. You are not required to use this form. You may draft your own form or use  
      forms available at legal stationery stores.  
  3. The Department of State recommends that all documents be prepared under the guidance of an attorney.  
  4. The certificate must be submitted with a $60 filing fee. 
 For Office Use Only 

 DOS-1559-f (Rev. 03/17)                                                                                              Page 2 of 2






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